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NPI Code Detail

MEDICARE: TIMOTHY DOUGLAS CAMPBELL MD

MEDICARE: TIMOTHY DOUGLAS CAMPBELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianD0104661MD

General Provider Information

NPI Number : 1043839467
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY DOUGLAS CAMPBELL MD
Provider Business Mailing Address
First Line : 48 E HENRIETTA RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-4236
Country : US
Telephone Number : 847-890-5241
Fax Number :
Provider Business Practice Location Address
First Line : 6535 N CHARLES ST STE 500
Second Line :
City : TOWSON
State : MD
Zip : 21204-5832
Country : US
Telephone Number : 410-825-5454
Fax Number : 410-825-6320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2020
Last Update Date : 05/28/2026

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Directions to “ TIMOTHY DOUGLAS CAMPBELL MD” Practice Location

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